Merchant Registration

We look forward to helping you. Please complete the information below. All fields are required.

A representative will review the information you provided and will be in contact with you within 1-2 business days.

Please double-check your data before submitting it. Your email address and password will be used in the future to log into the system.

Email Address:
Confirm Email:
Password: Your password must be at least 8 characters and must have at least one upper case letter, one lower case letter, and one digit.
Confirm Password:
Company Name:
Contact Person:

First Name

Last Name
Phone Number:
Website URL:
Skype Address:
ICQ Address:
Types of Chargebacks:
(Check all that apply)

Amount of Monthly Chargebacks:
Terms of Service: Do you have text in your Terms of Service telling your clients that you will share personal data with a third party if necessary to collected a debt, and that any chargebacks perceived as friendly fraud will be pursued to the extent of the law?
How did you hear about Chargebacks Ltd.:
Briefly Describe Your Business:
Add questions or comments you have: